Individual provider Active NPI

Dharini Mahendra Patel, M.D.

  • Anesthesiology Physician
  • La Palma, CA
National Provider Identifier
1750492013
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A72427 Issued in CA
Practice address
5451 La Palma Ave
Ste 15
La Palma, CA 90623-1728
Phone
(714) 809-2221
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A72427 CA Primary

Addresses

Primary practice location

5451 La Palma Ave
Ste 15
La Palma, CA 90623-1728

Mailing address

5451 La Palma Ave
Ste 15
La Palma, CA 90623-1728
Phone (714) 809-2221

Other identifiers 3

IdentifierTypeStateIssuer
00A724270OtherCABLUE SHIELD ID #
00A724270MedicaidCA
00A724270385OtherCACALOPTIMA ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817001501 CA Practitioner - Anesthesiology 5092788091 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72427CAMDPharmacist
A72427CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dharini M. Patel, MD, Inc Anesthesiology CurrentSince Jul 9, 2009 Accepting new patients
California Anesthesia Associates Medical Group, Inc. Anesthesiology CurrentSince Mar 2, 2016 Accepting new patients

Locations

5451 La Palma Ave
Ste 15
La Palma, CA 90623
Phone (562) 866-1764

2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814

1720 Termino Ave
Long Beach, CA 90804
Phone (562) 494-0631

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

361 Hospital Rd
Ste 124
Newport Beach, CA 92663
Phone (949) 631-0988

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1750492013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE",
            "address_2": "STE 15",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231728",
            "telephone_number": "714-809-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE",
            "address_2": "STE 15",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231728",
            "telephone_number": "714-809-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHARINI",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A72427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "00A724270",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A724270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA ID #",
            "identifier": "00A724270385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.